Information Request FormInformation Request FormRequests are processed within 3 – 5 business daysI am a….* Current Student Former StudentREOC Student ID or Social Security #*Full Name*Maiden/Other Name(s)Telephone #*Email* Year attended*Program*I am requesting a copy of:* Detailed Attendance Report (Current students only) Immunization/Health Records Test Scores (Specify test type below) Transcript Verification of Enrollment Other (please list below)Test TypeOther Request DescriptionSpecify where information should be mailed (Official Transcripts are not given directly to students):*By signing below, I authorize the College at Brockport Rochester Educational Opportunity Center to release the information requested above to the parties indicated. (please print full name)*PhoneThis field is for validation purposes and should be left unchanged.